Anesthesia Considerations in Infective Endocarditis

Henning Hermanns, Susanne Eberl*, Lotte E. Terwindt, Thierry C. B. Mastenbroek, Wolfgang O. Bauer, Thomas W. van der Vaart, Benedikt Preckel

*Corresponding author for this work

Research output: Contribution to journalReview articleAcademicpeer-review


The management of infective endocarditis is complex and inherently requires multidisciplinary cooperation. About half of all patients diagnosed with infective endocarditis will meet the criteria to undergo cardiac surgery, which regularly takes place in urgent or emergency settings. The pathophysiology and clinical presentation of infective endocarditis make it a unique disorder within cardiac surgery that warrants a thorough understanding of specific characteristics in the perioperative period. This includes, among others, echocardiography, coagulation, bleeding management, or treatment of organ dysfunction. In this narrative review article, the authors summarize the current knowledge on infective endocarditis relevant for the clinical anesthesiologist in perioperative management of respective patients. Furthermore, the authors advocate for the anesthesiologist to become a structural member of the endocarditis team.
Original languageEnglish
Pages (from-to)633-656
Number of pages24
Issue number4
Publication statusPublished - 1 Apr 2022

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